Prevalence and Impact of Comorbidities in Individuals with Chronic Obstructive Pulmonary Disease: A Systematic Review

This study aimed to describe the prevalence of comorbidities associated with chronic obstructive pulmonary disease (COPD) and their relation with relevant outcomes. A systematic review based on the PRISMA methodology was performed from January 2020 until July 2021. The MEDLINE, Lilacs, and Scielo da...

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Main Authors: Natasha Cordeiro dos Santos, Marc Miravitlles, Aquiles Assunção Camelier, Victor Durier Cavalcanti de Almeida, Roberto Rodrigues Bandeira Tosta Maciel, Fernanda Warken Rosa Camelier
Format: Article
Language:English
Published: The Korean Academy of Tuberculosis and Respiratory Diseases 2022-07-01
Series:Tuberculosis and Respiratory Diseases
Subjects:
Online Access:http://e-trd.org/upload/pdf/trd-2021-0179.pdf
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author Natasha Cordeiro dos Santos
Marc Miravitlles
Aquiles Assunção Camelier
Victor Durier Cavalcanti de Almeida
Roberto Rodrigues Bandeira Tosta Maciel
Fernanda Warken Rosa Camelier
author_facet Natasha Cordeiro dos Santos
Marc Miravitlles
Aquiles Assunção Camelier
Victor Durier Cavalcanti de Almeida
Roberto Rodrigues Bandeira Tosta Maciel
Fernanda Warken Rosa Camelier
author_sort Natasha Cordeiro dos Santos
collection DOAJ
description This study aimed to describe the prevalence of comorbidities associated with chronic obstructive pulmonary disease (COPD) and their relation with relevant outcomes. A systematic review based on the PRISMA methodology was performed from January 2020 until July 2021. The MEDLINE, Lilacs, and Scielo databases were searched to identify studies related to COPD and its comorbidities. Observational studies on the prevalence of comorbidities in COPD patients and costs with health estimates, reduced quality of life, and mortality were included. Studies that were restricted to one or more COPD pain assessments and only specific comorbidities such as osteoporosis, bronchitis, and asthma were excluded. The initial search identified 1,409 studies and after applying the inclusion and exclusion criteria, 20 studies were finally selected for analysis (comprising data from 447,459 COPD subjects). The most frequent COPD comorbidities were: hypertension (range, 17%–64.7%), coronary artery disease (19.9%–47.8%), diabetes (10.2%–45%), osteoarthritis (18%–43.8%), psychiatric conditions (12.1%–33%), and asthma (14.7%–32.5%). Several comorbidities had an impact on the frequency and severity of COPD exacerbations, quality of life, and mortality risk, in particular malignancies, coronary artery disease, chronic heart failure, and cardiac arrhythmias. Comorbidities, especially cardiovascular diseases and diabetes, are frequent in COPD patients, and some of them are associated with higher mortality.
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spelling doaj.art-096ea1d3afeb423387c27d9f0f449a6d2022-12-22T01:19:00ZengThe Korean Academy of Tuberculosis and Respiratory DiseasesTuberculosis and Respiratory Diseases1738-35362005-61842022-07-0185320522010.4046/trd.2021.01794784Prevalence and Impact of Comorbidities in Individuals with Chronic Obstructive Pulmonary Disease: A Systematic ReviewNatasha Cordeiro dos Santos0Marc Miravitlles1Aquiles Assunção Camelier2Victor Durier Cavalcanti de Almeida3Roberto Rodrigues Bandeira Tosta Maciel4Fernanda Warken Rosa Camelier5 Department of Life Sciences, State University of Bahia (UNEB), Bahia, Brazil Department of Pneumology, Hospital Vall d’Hebron/Vall d’Hebron Research institute (VHIR), Barcelona, Spain Department of Life Sciences, State University of Bahia (UNEB), Bahia, Brazil Department of Life Sciences, State University of Bahia (UNEB), Bahia, Brazil Department of Life Sciences, State University of Bahia (UNEB), Bahia, Brazil Department of Life Sciences, State University of Bahia (UNEB), Bahia, BrazilThis study aimed to describe the prevalence of comorbidities associated with chronic obstructive pulmonary disease (COPD) and their relation with relevant outcomes. A systematic review based on the PRISMA methodology was performed from January 2020 until July 2021. The MEDLINE, Lilacs, and Scielo databases were searched to identify studies related to COPD and its comorbidities. Observational studies on the prevalence of comorbidities in COPD patients and costs with health estimates, reduced quality of life, and mortality were included. Studies that were restricted to one or more COPD pain assessments and only specific comorbidities such as osteoporosis, bronchitis, and asthma were excluded. The initial search identified 1,409 studies and after applying the inclusion and exclusion criteria, 20 studies were finally selected for analysis (comprising data from 447,459 COPD subjects). The most frequent COPD comorbidities were: hypertension (range, 17%–64.7%), coronary artery disease (19.9%–47.8%), diabetes (10.2%–45%), osteoarthritis (18%–43.8%), psychiatric conditions (12.1%–33%), and asthma (14.7%–32.5%). Several comorbidities had an impact on the frequency and severity of COPD exacerbations, quality of life, and mortality risk, in particular malignancies, coronary artery disease, chronic heart failure, and cardiac arrhythmias. Comorbidities, especially cardiovascular diseases and diabetes, are frequent in COPD patients, and some of them are associated with higher mortality.http://e-trd.org/upload/pdf/trd-2021-0179.pdfcopdcomorbidityseverityhospitalizationhealthcare xostsmortality
spellingShingle Natasha Cordeiro dos Santos
Marc Miravitlles
Aquiles Assunção Camelier
Victor Durier Cavalcanti de Almeida
Roberto Rodrigues Bandeira Tosta Maciel
Fernanda Warken Rosa Camelier
Prevalence and Impact of Comorbidities in Individuals with Chronic Obstructive Pulmonary Disease: A Systematic Review
Tuberculosis and Respiratory Diseases
copd
comorbidity
severity
hospitalization
healthcare xosts
mortality
title Prevalence and Impact of Comorbidities in Individuals with Chronic Obstructive Pulmonary Disease: A Systematic Review
title_full Prevalence and Impact of Comorbidities in Individuals with Chronic Obstructive Pulmonary Disease: A Systematic Review
title_fullStr Prevalence and Impact of Comorbidities in Individuals with Chronic Obstructive Pulmonary Disease: A Systematic Review
title_full_unstemmed Prevalence and Impact of Comorbidities in Individuals with Chronic Obstructive Pulmonary Disease: A Systematic Review
title_short Prevalence and Impact of Comorbidities in Individuals with Chronic Obstructive Pulmonary Disease: A Systematic Review
title_sort prevalence and impact of comorbidities in individuals with chronic obstructive pulmonary disease a systematic review
topic copd
comorbidity
severity
hospitalization
healthcare xosts
mortality
url http://e-trd.org/upload/pdf/trd-2021-0179.pdf
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